{"id":"https://openalex.org/W2108123779","doi":"https://doi.org/10.1136/gut.45.1.154","title":"Structured training and assessment in ERCP has become essential for the Calman era","display_name":"Structured training and assessment in ERCP has become essential for the Calman era","publication_year":1999,"publication_date":"1999-07-01","ids":{"openalex":"https://openalex.org/W2108123779","doi":"https://doi.org/10.1136/gut.45.1.154","mag":"2108123779","pmid":"https://pubmed.ncbi.nlm.nih.gov/10369721"},"language":"en","primary_location":{"id":"doi:10.1136/gut.45.1.154","doi":"https://doi.org/10.1136/gut.45.1.154","is_oa":true,"landing_page_url":"https://doi.org/10.1136/gut.45.1.154","pdf_url":"https://gut.bmj.com/content/gutjnl/45/1/154.full.pdf","source":{"id":"https://openalex.org/S3251770","display_name":"Gut","issn_l":"0017-5749","issn":["0017-5749","1468-3288"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-3","medline","norway-2"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://gut.bmj.com/content/gutjnl/45/1/154.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027313708","display_name":"A. C. B. Wicks","orcid":"https://orcid.org/0000-0003-4584-0532","observed_orcids":["https://orcid.org/0000-0003-4584-0532"]},"institutions":[{"id":"https://openalex.org/I2800440371","display_name":"Leicester General Hospital","ror":"https://ror.org/02zg49d29","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800440371","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"A C B WICKS","raw_affiliation_strings":["Departments of Gastroenterology and Surgery","Departments of Gastroenterology and Surgery Leicester General Hospital, Gwendolen Road, Leicester, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Gastroenterology and Surgery","institution_ids":[]},{"raw_affiliation_string":"Departments of Gastroenterology and Surgery Leicester General Hospital, Gwendolen Road, Leicester, UK","institution_ids":["https://openalex.org/I2800440371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111799982","display_name":"G S M Robertson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800440371","display_name":"Leicester General Hospital","ror":"https://ror.org/02zg49d29","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800440371","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"G S M ROBERTSON","raw_affiliation_strings":["Departments of Gastroenterology and Surgery","Leicester General Hospital, Gwendolen Road, Leicester, UK","Departments of Gastroenterology and Surgery; Leicester General Hospital, Gwendolen Road, Leicester, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Gastroenterology and Surgery","institution_ids":[]},{"raw_affiliation_string":"Leicester General Hospital, Gwendolen Road, Leicester, UK","institution_ids":["https://openalex.org/I2800440371"]},{"raw_affiliation_string":"Departments of Gastroenterology and Surgery; Leicester General Hospital, Gwendolen Road, Leicester, UK","institution_ids":["https://openalex.org/I2800440371"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067842825","display_name":"Peter S. Veitch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800440371","display_name":"Leicester General Hospital","ror":"https://ror.org/02zg49d29","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800440371","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"P S VEITCH","raw_affiliation_strings":["Departments of Gastroenterology and Surgery","Leicester General Hospital, Gwendolen Road, Leicester, UK","Departments of Gastroenterology and Surgery; Leicester General Hospital, Gwendolen Road, Leicester, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Gastroenterology and Surgery","institution_ids":[]},{"raw_affiliation_string":"Leicester General Hospital, Gwendolen Road, Leicester, UK","institution_ids":["https://openalex.org/I2800440371"]},{"raw_affiliation_string":"Departments of Gastroenterology and Surgery; Leicester General Hospital, Gwendolen Road, Leicester, UK","institution_ids":["https://openalex.org/I2800440371"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800440371"],"apc_list":null,"apc_paid":null,"fwci":0.3243,"has_fulltext":true,"cited_by_count":23,"citation_normalized_percentile":{"value":0.64382955,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"45","issue":"1","first_page":"154","last_page":"156"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.46389999985694885,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.46389999985694885,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.4235999882221222,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.08829999715089798,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endoscopic-retrograde-cholangiopancreatography","display_name":"endoscopic retrograde cholangiopancreatography","score":0.9929999709129333},{"id":"https://openalex.org/keywords/ercp-training","display_name":"ERCP training","score":0.9629999995231628},{"id":"https://openalex.org/keywords/ercp-adverse-events","display_name":"ERCP complications","score":0.7070000171661377},{"id":"https://openalex.org/keywords/specialist-registrar-training","display_name":"specialist registrar training","score":0.6240000128746033}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7690216302871704},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.7022050619125366},{"id":"https://openalex.org/C2778444009","wikidata":"https://www.wikidata.org/wiki/Q637883","display_name":"Endoscopic retrograde cholangiopancreatography","level":3,"score":0.6043888926506042},{"id":"https://openalex.org/C2776474662","wikidata":"https://www.wikidata.org/wiki/Q1578147","display_name":"Magnetic resonance cholangiopancreatography","level":4,"score":0.5337425470352173},{"id":"https://openalex.org/C2775967933","wikidata":"https://www.wikidata.org/wiki/Q1527888","display_name":"Pancreatitis","level":2,"score":0.5046676397323608},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.45803359150886536},{"id":"https://openalex.org/C2779388726","wikidata":"https://www.wikidata.org/wiki/Q272714","display_name":"Gallstones","level":2,"score":0.4383637011051178},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4292513132095337},{"id":"https://openalex.org/C2779777945","wikidata":"https://www.wikidata.org/wiki/Q851111","display_name":"Bile duct","level":2,"score":0.4218239486217499},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3548414707183838},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3357505798339844},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.10903924703598022},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0},{"id":"https://openalex.org/C2778527123","wikidata":"https://www.wikidata.org/wiki/Q11750728","display_name":"Punching","level":2,"score":0.0},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002760","descriptor_name":"Cholangiopancreatography, Endoscopic Retrograde","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002760","descriptor_name":"Cholangiopancreatography, Endoscopic Retrograde","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002760","descriptor_name":"Cholangiopancreatography, Endoscopic Retrograde","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004503","descriptor_name":"Education, Medical, Graduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004503","descriptor_name":"Education, Medical, Graduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004503","descriptor_name":"Education, Medical, Graduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004521","descriptor_name":"Educational Measurement","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004521","descriptor_name":"Educational Measurement","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004521","descriptor_name":"Educational Measurement","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D005762","descriptor_name":"Gastroenterology","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D005762","descriptor_name":"Gastroenterology","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D005762","descriptor_name":"Gastroenterology","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1136/gut.45.1.154","doi":"https://doi.org/10.1136/gut.45.1.154","is_oa":true,"landing_page_url":"https://doi.org/10.1136/gut.45.1.154","pdf_url":"https://gut.bmj.com/content/gutjnl/45/1/154.full.pdf","source":{"id":"https://openalex.org/S3251770","display_name":"Gut","issn_l":"0017-5749","issn":["0017-5749","1468-3288"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-3","medline","norway-2"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut","raw_type":"journal-article"},{"id":"pmid:10369721","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10369721","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:476790","doi":null,"is_oa":false,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1727561","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1727561","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1727561","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gut","raw_type":"Text"},{"id":"pmh:oai:open-archive.highwire.org:gutjnl:45/1/154","doi":null,"is_oa":false,"landing_page_url":"http://gut.bmj.com/cgi/content/short/45/1/154","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":{"id":"doi:10.1136/gut.45.1.154","doi":"https://doi.org/10.1136/gut.45.1.154","is_oa":true,"landing_page_url":"https://doi.org/10.1136/gut.45.1.154","pdf_url":"https://gut.bmj.com/content/gutjnl/45/1/154.full.pdf","source":{"id":"https://openalex.org/S3251770","display_name":"Gut","issn_l":"0017-5749","issn":["0017-5749","1468-3288"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-3","medline","norway-2"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.7799999713897705,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2108123779.pdf","grobid_xml":"https://content.openalex.org/works/W2108123779.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1972389902","https://openalex.org/W1981412450","https://openalex.org/W1991795661","https://openalex.org/W2001048448","https://openalex.org/W2005707832","https://openalex.org/W2011734678","https://openalex.org/W2013786343","https://openalex.org/W2017817577","https://openalex.org/W2027563291","https://openalex.org/W2032116525","https://openalex.org/W2040058116","https://openalex.org/W2043813971","https://openalex.org/W2079580900","https://openalex.org/W2088115624","https://openalex.org/W2114163925","https://openalex.org/W2138202532","https://openalex.org/W2209070383","https://openalex.org/W2320210611","https://openalex.org/W2336451247","https://openalex.org/W2396571606","https://openalex.org/W2409874732","https://openalex.org/W2955949067","https://openalex.org/W4285719527","https://openalex.org/W6654710452"],"related_works":["https://openalex.org/W2182858914","https://openalex.org/W2441047597","https://openalex.org/W2426251809","https://openalex.org/W1970031848","https://openalex.org/W4226078079","https://openalex.org/W3215718398","https://openalex.org/W4220849147","https://openalex.org/W4251972795","https://openalex.org/W1579960876","https://openalex.org/W1998555000"],"abstract_inverted_index":{"Endoscopic":[0],"retrograde":[1],"cholangiopancreatography":[2],"(ERCP)":[3],"is":[4,287],"one":[5],"of":[6,77,86,93,102,117,167,185,206,209,231,238,244,248,261,279],"the":[7,27,59,68,75,91,98,115,124,165,174,179,183,207,222,239,245,277],"most":[8],"difficult":[9,126],"endoscopic":[10,280],"procedures":[11,128,186,210,281],"to":[12,33,38,113,129,191,195,216,226],"learn.":[13],"It":[14,135],"has":[15,80,88,136,172],"a":[16,31,35,188,202,211,228,288],"significant":[17],"complication":[18],"rate":[19,237],"even":[20],"when":[21],"undertaken":[22],"by":[23,71,283],"experienced":[24],"practitioners.":[25],"During":[26],"procedure,":[28],"patients":[29],"have":[30,181],"right":[32],"expect":[34,215],"competent":[36],"practitioner":[37],"be":[39,130],"in":[40,46,58,142,153,193],"charge":[41],"as":[42,106,276],"complications":[43],"may":[44],"result":[45],"cholangitis,":[47],"bleeding,":[48],"pancreatitis,":[49],"duodenal":[50],"and":[51,54,97,149,155,256],"biliary":[52],"perforation,":[53],"consequent":[55],"death.1":[56],"However,":[57],"United":[60],"Kingdom,":[61],"there":[62],"are":[63,111,254,269],"no":[64],"guidelines":[65,257],"either":[66],"for":[67,161],"training":[69,163,170],"required":[70],"these":[72,199],"doctors":[73],"or":[74],"assessment":[76],"proficiency.\n\nThis":[78],"issue":[79],"become":[81,137],"increasingly":[82,138],"important.":[83],"The":[84],"use":[85],"ERCP":[87,143,162],"increased":[89],"with":[90],"advent":[92],"laparoscopic":[94],"cholecystectomy2":[95],"3":[96],"minimal":[99],"access":[100],"management":[101],"gallstones.4":[103],"Developments":[104],"such":[105],"magnetic":[107],"resonance":[108],"imaging":[109],"(MRI)":[110],"likely":[112],"reduce":[114],"number":[116,184,208,223,278],"purely":[118],"diagnostic":[119],"ERCPs":[120,253,268],"needed,":[121],"leaving":[122],"only":[123],"more":[125],"therapeutic":[127,147],"done":[131],"using":[132],"this":[133],"method.":[134],"obvious":[139],"that":[140,187,251,266,275],"competence":[141],"reduces":[144,150],"complications,5":[145],"maximises":[146],"potential":[148],"costs":[151],"incurred":[152],"unsuccessful":[154],"repeated":[156],"procedures.":[157],"Finally,":[158],"time":[159],"available":[160],"within":[164],"confines":[166],"specialist":[168],"registrar":[169],"schemes":[171],"decreased.\n\nIn":[173],"past,":[175],"recommendations":[176,200],"(mainly":[177],"from":[178,258],"USA)":[180],"emphasised":[182],"trainee":[189,212],"needs":[190],"master":[192],"order":[194],"achieve":[196,227],"competence.":[197],"Often,":[198],"represent":[201],"pragmatic,":[203],"consensus":[204],"view":[205],"could":[213],"realistically":[214],"perform":[217],"under":[218],"supervision,":[219],"rather":[220],"than":[221],"actually":[224],"needed":[225],"definitive":[229],"level":[230],"success\u2014for":[232],"example,":[233],"an":[234],"80%":[235],"cannulation":[236],"desired":[240],"duct.6":[241],"A":[242],"survey":[243],"American":[246,259],"College":[247],"Physicians":[249],"suggests":[250],"50":[252],"sufficient7":[255],"Society":[260],"Gastrointestinal":[262],"Endoscopy":[263],"(ASGE)":[264],"propose":[265],"35":[267],"enough.8":[270],"In":[271],"practice,":[272],"it":[273],"seems":[274],"performed":[282],"trainees":[284],"increase,9":[285],"10there":[286],"\u2026":[289]},"counts_by_year":[{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2025-10-10T00:00:00"}
